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        <h4>Contact form submition</h4>

        <p>
            <b>Title:</b><br /> 
            %%TITLE%%
        </p>

        <p>
            <b>Forename:</b><br /> 
            %%FORENAME%%
        </p>

        <p>
            <b>Surename:</b><br /> 
            %%SURNAME%%
        </p>
                                                                                                
        <p>
            <b>Company Name:</b><br /> 
            %%COMPANYNAME%%
        </p>
                                                
        <p>
            <b>Address:</b><br /> 
            %%CLIENTADDRESS%%
        </p>
                        
        <p>
            <b>City:</b><br /> 
            %%CITY%%
        </p>
            
        <p>
            <b>State/Province/County:</b><br /> 
            %%STATE_PROVINCE_COUNTY%%
        </p>

        <p>
            <b>ZIP/Postal Code:</b><br /> 
            %%ZIP%%
        </p>

        <p>
            <b>Country:</b><br /> 
            %%COUNTRY%%
        </p>

        <p>
            <b>Phone Number:</b><br /> 
            %%PHONENUMBER%%
        </p>

        <p>
            <b>Mobile Phone:</b><br /> 
            %%MOBILE%%
        </p>

        <p>
            <b>Email Address:</b><br /> 
            %%EMAIL%%
        </p>

        <p>
            <b>How did you find out about us?:</b><br /> 
            %%HOW_FIND_US%%
        </p>

        <p>
            <b>Please send me a brochure:</b><br /> 
            %%BROCHURE%%
        </p>

        <p>
            <b>Project type:</b><br /> 
            %%PROJECT%%
        </p>

        <p>
            <b>Interested in Product/s:</b><br /> 
            %%PRODUCTS%%
        </p>

        <p>
            <b>Project Location:</b><br /> 
            %%PROJECTLOCATION%%
        </p>

        <p>
            <b>Project Reference:</b><br /> 
            %%PROJECTREFERENCE%%
        </p>

        <p>
            <b>Project details:</b><br /> 
            %%PROJECTDETAILS%%
        </p>

        <p>
            <b>Floor area involved :</b><br /> 
            %%FLOORAREA%%
        </p>

        <p>
            <b>Wall area involved:</b><br /> 
            %%WALLAREA%%
        </p>

        <p>
            <b>Completion timing:</b><br /> 
            %%COMPLETIONTIMING%%
        </p>

        <p>
            <b>Enquiry status:</b><br /> 
            %%ENQUIRYSTATUS%%
        </p>

        <p>
            <b>Other Requirements / General Message:</b><br /> 
            %%MESSAGE%%
        </p>

        <p>&nbsp;</p>
        <p>______________________________________________</p>
        <p>Submited on %%TIMESTAMP%%</p>

		<p>&nbsp;</p>
        <p>Sent from www.deferranti.com</p>

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